Revenue Integrity Analyst

101 Truman Medical Center; Northpoint (AR); On-site; USD 70,000 - 100,000; Full time

Job summary

University Health seeks a Revenue Integrity Analyst to manage the revenue integrity process, review the Charge Description Master for completeness, and oversee APC program changes.

The role requires a bachelor’s degree in business, professional coding certifications, and at least three years in healthcare, with strong Medicare/Medicaid experience and skill in training staff.

Qualifications

• Bachelor's degree in business or equivalent required.
• RHIA/RHIT/CCS/CCS-P/CPC/CPC-H certifications required.
• Experience auditing medical procedure codes for accuracy.
• At least 3 years in a healthcare setting.
• Strong Medicare/Medicaid compliance knowledge.
• Experience training staff and presenting to groups.
• Ability to analyze cost data and prepare reports.

Responsibilities

• Manages revenue integrity process to ensure accurate and timely changes are captured.
• Review of Charge Description Master for completeness and to establish charges for patient-related services.
• Oversees APC program by implementing changes and education of staff.
• Works independently providing consultation to departments and entities.

Skills

Medical coding auditing

Cost data analysis

Staff training

Interdepartmental communication

Education

Bachelor’s degree in business or equivalent

RHIA, RHIT, CCS, CCS-P, CPC, CPC-H certifications

Tools

Charge Description Master (CDM) systems

Job description

Revenue Integrity Analyst 101 Truman Medical Center Job Location Northpoint Kansas City, Missouri Department Revenue Integrity Position Type Full time Work Schedule 8:00AM - 4:30PM Hours Per Week 40 Job Description Manages revenue integrity process to ensure accurate and timely changes are captured. Performs a variety of duties related to compliance for charging patient services and supplies. Priorities will include review of Charge Description Master for completeness and to establish charges for patient related services, procedures and supplies. Oversees APC program by implementing changes and education of staff. Works independently providing consultation to departments and entities. Work is received by the Manager of Revenue Cycle.

Minimum Requirements

• Bachelor’s degree in business or the equivalent in a combination of education and accumulated relevant experience
• Possess and maintain certification as follows: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H
• Experience in auditing for medical procedures code accuracy and completeness
• Minimum of three years experience in a health care setting, preferably at a large acute care facility
• Extensive knowledge of Medicare/ Medicaid guidelines required for compliance
• Experience in facilitating and training large and small groups and conducting one-on-one training
• Ability to effectively communicate with all departments that interface with the charge description master
• Ability to collect and analyze cost data and prepare reports and documents utilizing a computer and various software data bases.

Preferred Auditing Certification

• Extensive experience with healthcare billing and reimbursement guidelines
• Charge audit experience

Working at University Health is about making a difference. It's providing the best care to every patient every day. University Health (UH), is committed to being a leader in providing a culturally inclusive workplace for our employees. UH is an equal opportunity employer. We value and celebrate our differences. We are committed to equal employment opportunity regardless, but not limited to race, ethnicity, religion, beliefs, sex (including pregnancy, gender identity and expression, sexual orientation), national origin, ancestry, language, age, citizenship, genetic information, marital status, socioeconomic status, literacy, disability, mobility, abilities, veteran status and any other category protected by applicable law.